Warner Echo L, Perez Giselle K, Waters Austin R, van Thiel Berghuijs Karely M, Vaca Lopez Perla, Foor Allyson, Ray Nicole, Donelan Karen, Kuhlthau Karen A, Kirchhoff Anne C, Park Elyse R
The University of Utah, Salt Lake City, UT, USA.
Massachusetts General Hospital, Boston, MA, USA.
Health Educ Behav. 2025 Feb;52(1):92-101. doi: 10.1177/10901981241275628. Epub 2024 Sep 18.
Adapting interventions to new contexts requires consideration of the needs, norms, and delivery structures of the new setting. We describe how we followed the ORBIT model of intervention development to create Health Insurance Navigation Tools (HINT), a health insurance patient navigation intervention for childhood cancer survivors. By engaging stakeholders and leveraging institutional resources, we identified and preemptively addressed real-world barriers, which may improve the feasibility and efficacy of the intervention. Using evidence-based implementation science models to adapt and refine interventions enhances rigor and reproducibility, implements checks and balances, and surmounts challenges of intervention rollout to accelerate the delivery of health insurance education to childhood cancer survivors.
使干预措施适应新环境需要考虑新环境的需求、规范和实施结构。我们描述了我们如何遵循干预发展的ORBIT模型来创建健康保险导航工具（HINT），这是一种针对儿童癌症幸存者的健康保险患者导航干预措施。通过让利益相关者参与并利用机构资源，我们识别并预先解决了现实世界中的障碍，这可能会提高干预措施的可行性和有效性。使用基于证据的实施科学模型来调整和完善干预措施可提高严谨性和可重复性，实施制衡机制，并克服干预措施推广中的挑战，以加速向儿童癌症幸存者提供健康保险教育。
